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Home My WebLink AboutResolutions - 2007.04.26 - 28338141,x1 MISCELLANEOUS RESOLUTION #07099 April 26, 2007 BY: General Government Committee, Christine A. Long, Chairperson IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — IMPLEMENTATION OF FEE FOR HUMAN PAPILLOMAVIRUS (HPV) VACCINE To the Oakland County Board of Commissioners Chairperson, Ladies, and Gentlemen: WHEREAS cervical cancer is a very serious, life-threatening disease for many American women; and WHEREAS cervical cancer is the second most common cancer in women; and WHEREAS most deaths from cervical cancer can be prevented through early and regular screening, detection, and clinical follow-up; and WHEREAS the most important risk factor for cervical cancer is Human Papillomavirus (HPV) infection, also known as genital warts; and WHEREAS it has been estimated that at least 50% of sexually active men and women acquire HPV infection at some point in their lives and that most of these infections are asymptomatic and can be unknowingly transmitted to another; and WHEREAS the Federal Drug Administration has approved a new vaccine (HPV4) which could prevent 70% of new cervical cancers from developing; and WHEREAS this vaccine is an important public health medication to prevent the spread of HPV; and WHEREAS HPV vaccine availability is a crucial component of a successful cervical cancer prevention and control program; and WHEREAS the Oakland County Health Division requests $50,000 to implement a self-sustaining fee-for-service HPV vaccine program for the purchase of vaccine, supplies, and printed materials to be fully offset by fee reimbursement; and WHEREAS no additional staff are being requested as existing clinical staff would be utilized to administer the vaccine. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners authorizes the Oakland County Health Division to establish a self- sustaining fee-for-service HPV vaccine program in accordance with the attached fee schedule. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. GENERAL GOVERNMENT COMMITTEE e_ c, GENERAL GOVERNMENT COMMITTEE VOTE: Motion carried on a roll call vote with Gingen, Crawford, Kowall and Long voting no. FEE PER DOSE $120 VACCINE HPV4 (Three Doses Required) DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION HUMAN PAPILLOMA VIRUS (HPV) VACCINE FEE SCHEDULE Transfer In HPV Vaccine Vaccine/HPV HEALTH FUND 20221 REVENUES 9090101-134860-655001-10100 1060234-133910-630898 EXPENDITURES 1060234-133910-750590 $ 50,000 99,760 5149,760 $149,760 $149,760 $ FISCAL NOTE (MISC. #07099) April 26, 2007 BY: FINANCE COMMITTEE, MIKE ROGERS, CHAIRPERSON IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - IMPLEMENTATION OF FEE FOR HUMAN PAPILLOMAVIRUS (HPV) VACCINE TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS Chairperson, Ladies and Gentlemen: Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above-referenced resolution and finds: 1. Most deaths from cervical cancer can be prevented through early and regular screening, detection, and clinical follow-up. Cervical Cancer is the second most common cancer in women. 2. The Health Division requests $50,000 to implement a self-sustaining fee-for-service HPV vaccine program for the purchase of vaccine, supplies, and printed materials to be fully offset by fee reimbursement. 3. A voucher system will be implemented to administer the required multiple doses of HPV4 (three Doses Required) at a fee of $120 per dose. 4. Upon initiation of the HPV vaccine regimen for a client, the fees will be collected for the entire dose sequence. A voucher will be issued to the client that entitles that person to receive the future remaining doses. 5. The voucher system will help to ensure that this program is self- sustaining and will also help to project the vaccine inventory level that is required. 6. No additional positions are required. 7. The Fiscal Year 2007 budget should be amended as specified below. FY2007 GENERAL FUND 10100 EXPENDITURES 9090101-196030-730359 Contingency $(50,000) 9010101-134860-788001-20221 Transfer Out 50,000 FINANCE COMMITTEE FINANCE COMMITTEE - Motion carried: Ayes: Zack, Middleton, Potter, Woodward, Greimel, Rogers Nays; Kowall, Douglas, Crawford, Long Absent: Coulter Resolution #07099 April 26, 2007 Moved by Zack supported by Potter the resolution (with fiscal note attached) be adopted. Moved by Douglas supported by KowaII the resolution be amended as follows: BE IT FURTHER RESOLVED THAT the Oakland County Department of Health and Human Services/Health Division advise recipients of the Human Papilloma Virus (HPV) Vaccine of possible adverse side effects and urge them to report such side effects to the Oakland County Health Department and/or to the Vaccine Adverse Event Reporting System (VAERS) which is co- sponsored by the Centers for Disease Control (CDC) and the Food and Drug Administration (FDA). BE IT FURTHER RESOLVED THAT the Oakland County Department of Health and Human Services/Health Division include information on how to contact VAERS (htt://www.fda.qov/cber/vaers/vaers.htm or 1-800- 8227967) by providing the attached VAERS brochure to all recipients of the HPV vaccine. Discussion followed. Chairperson Bill Bullard, Jr. asked Dr. Gordon, Director of the Oakland County Health Division if he agreed with Commissioner Douglas amendment. Dr. Gordon stated he had no problems with Commissioner Douglas' amendment. Moved by Burns supported by Greimel to amend to Commissioner Douglas' amendment as follows: BE IT FURTHER RESOLVED THAT the Oakland County Department of Health and Human Services/Health Division advise recipients of the 14- • • e..- • . - • - all vaccines administered by the county of possible adverse side effects and urge them to report such side effects to the Oakland County Health Department and/or to the Vaccine Adverse Event Reporting System (VAERS) which is co-sponsored by the Centers for Disease Control (CDC) and the Food and Drug Administration (FDA). BE IT FURTHER RESOLVED THAT the Oakland County Department of Health and Human Services/Health Division include information on how to contact VAERS (http://www.fda ,qov/cber/vaers/vaers.htm or 1-800- 8227967) by providing the attached VAERS brochure to all recipients of the HPV vaccines. Commissioner Douglas stated Commissioner Burns' amendment was not germane. Chairperson Bill Bullard, Jr. referred the question to Judy Cunningham of Corporation Counsel and she stated the amendment was not germane. Chairperson Bill Bullard, Jr recommended Commissioner Burns introduce a separate resolution. Discussion followed. Vote on Commissioner Douglas' amendment: AYES: Gingell, Gosselin, Gregory, Greimel, Hatchett, Jacobsen, Kowall, Long, Middleton, Nash, Potter, Potts, Rogers, Scott, Spector, Suarez, Woodward, Zack, Bullard, Burns, Coleman, Crawford, Douglas, Gershenson (24) NAYS: Coulter. (1) A sufficient majority having voted in favor, the amendment carried, Discussion followed. Vote on resolution, as amended: AYES: Gregory, Greimel, Hatchett, Jacobsen, Middleton, Nash, Potter, Potts, Rogers, Spector, Suarez, Woodward, Zack, Bullard, Burns, Coleman, Coulter, Gershenson. (18) NAYS: Gosselin, KowaII, Long, Scott, Crawford, Douglas, Gingell. (7) A sufficient majority having voted in favor, the resolution, as amended, was adopted. I HEREBY THE FOREGOING RESOLUTION /0- 7 STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Ruth Johnson, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Commissioners on April 26, 2007, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 26th day of April, 2007. r ' Rut • "-:-; .n, County Clerk